Actively Recruiting

Phase 3
Age: 4Years - 17Years
All Genders
ID07250802

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Trial Evaluating Zasocitinib in Children and Teenagers Aged 4 to Under 18 with Moderate-to-Severe Plaque Psoriasis

Led by Takeda · Updated on 2026-05-08

110

Participants Needed

40

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating how well the medicine zasocitinib works, how safe it is, and how children and teenagers aged 4 to under 18 with moderate-to-severe plaque psoriasis respond to it. The study is a Phase 3 trial that includes two parts: Part A with both children and teenagers, and Part B with only children. Initially, only teenagers who meet the study rules can participate, and children may join once enough information from other studies is available. Participants in Part A will be randomly assigned to receive either zasocitinib or a placebo for the first 16 weeks, after which all participants will receive zasocitinib for the remainder of the study. Participants in Part B will receive zasocitinib throughout the study. Dosages are given orally once daily, with doses adjusted by weight for children aged 4 to under 12 years, and a fixed dose for teenagers aged 12 to under 18 years. The study includes a double-blind placebo-controlled period followed by an open-label period. Participants will be involved for up to 4 years and 2 months, including up to 35 days for screening, 208 weeks of treatment, and a 4-week safety follow-up. During this time, participants will visit the study site multiple times for assessments, including skin evaluations, quality of life questionnaires, and blood tests to monitor drug levels and safety. Researchers will measure how many participants achieve clear or almost clear skin, improvements in psoriasis severity scores, quality of life improvements, and monitor the medicine's concentration in the body.

CONDITIONS

Brief Title

A Long-Term Study of Zasocitinib in Children and Teenagers With Plaque Psoriasis

Who Can Participate

Age: 4Years - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of chronic plaque psoriasis for at least 6 months before screening
  • Stable plaque psoriasis without significant flare for 6 months before screening
  • Moderate-to-severe plaque psoriasis with PASI score of 12 or higher and sPGA score of 3 or higher at screening and Day 1
  • Plaque psoriasis covering 10% or more of body surface area at screening and Day 1
  • Candidate for phototherapy or systemic therapy
  • For Part A Cohort 1: Aged 12 to under 18 years, male or female
  • For Part A Cohort 2 and Part B: Aged 4 to under 12 years, male or female
  • For Part A Cohort 1: Weight of 40 kg or more at screening
Not Eligible

You will not qualify if you...

  • Evidence of nonplaque psoriasis types such as erythrodermic, pustular, predominantly guttate, predominantly inverse, or drug-induced psoriasis, except limited inverse psoriasis
  • Need for systemic treatment other than NSAIDs for immune-related disease during the trial
  • Skin conditions that interfere with trial assessments
  • History or signs of active or latent tuberculosis infection
  • Active herpes virus infections or history of serious herpetic infection
  • History of chronic or recurrent bacterial disease
  • History of opportunistic infections like Pneumocystis jirovecii pneumonia or histoplasmosis
  • Any clinically significant unstable medical condition or abnormal test results posing risk or interfering with trial
  • Previous exposure to zasocitinib or other TYK2 inhibitors unless confirmed placebo
  • Not up to date on all required vaccinations according to pediatric guidelines
  • Other protocol-defined inclusion or exclusion criteria may apply

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 16 weeks

Participants receive oral doses of zasocitinib or matching placebo during the double-blind placebo-controlled period.

Weekly visits for up to 16 weeks

Treatment

Duration - Up to 192 weeks (Weeks 16 to 208)

Participants receive open-label oral zasocitinib with doses based on age and weight during the long-term treatment period.

Visits throughout open-label period as scheduled by the study team

Trial Site Locations

Total: 40 locations

1

Exalt Clinical Research

Chula Vista, California, United States, 91910

Actively Recruiting

2

First OC Dermatology Research Inc.

Fountain Valley, California, United States, 92708

Actively Recruiting

3

Direct Helpers Medical Center

Hialeah, Florida, United States, 33012

Actively Recruiting

4

Arlington Dermatology

Rolling Meadows, Illinois, United States, 60008-3811

Actively Recruiting

5

Apex Clinical Research Center, LLC

Canton, Ohio, United States, 44718

Actively Recruiting

6

Wright State Physicians

Fairborn, Ohio, United States, 45324

Actively Recruiting

7

Apex Clinical Research Center, LLC

Mayfield Heights, Ohio, United States, 44124-4005

Actively Recruiting

8

Medical University of South Carolina

Charleston, South Carolina, United States, 29425

Not Yet Recruiting

9

UT Physicians Dermatology - Bellaire Station

Bellaire, Texas, United States, 77401

Not Yet Recruiting

10

Texas Dermatology and Laser Specialists-San Antonio

San Antonio, Texas, United States, 78218-3128

Actively Recruiting

11

Medical College of Wisconsin

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

12

Beijing Children Hospital, Capital Medical University

Beijing, Beijing Municipality, China, 100045

Actively Recruiting

13

Dermatology Hospital of Southern Medical University

Guangzhou, Guangdong, China, 510091

Not Yet Recruiting

14

Hunan Children's Hospital

Changsha, Hunan, China, 410007

Actively Recruiting

15

Hangzhou First People's Hospital

Hangzhou, Zhejiang, China, 310006

Actively Recruiting

16

Peking University Third Hospital

Beijing, China, 100191

Actively Recruiting

17

Huashan Hospital Fudan University

Shanghai, China, 200040

Actively Recruiting

18

Johann Wolfgang Goethe-Universität Frankfurt am Main

Frankfurt am Main, Hesse, Germany, 60596

Not Yet Recruiting

19

Fachklinik Bad Bentheim

Bad Bentheim, Lower Saxony, Germany, 48455

Actively Recruiting

20

Uniklinik Koln, Klinik fur Dermatologie und Venerologie

Cologne, North Rhine-Westphalia, Germany, 50937

Not Yet Recruiting

21

University Hospital of Muenster

Münster, North Rhine-Westphalia, Germany, 48145

Not Yet Recruiting

22

Universitätsklinikum Bonn

Bonn, Germany, 53127

Not Yet Recruiting

23

Universitaetsmedizin der Johannes - Gutenberg Universitaet Mainz

Mainz, Germany, 55131

Not Yet Recruiting

24

Presidio Ospedaliero Gaspare Rodolico

Catania, Sicily, Italy, 95123

Not Yet Recruiting

25

Universita Degli Studi Di Padova

Padova, Italy, 35121

Not Yet Recruiting

26

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Rome, Italy, 00168

Not Yet Recruiting

27

Nagoya City University Hospital

Nagoya, Aichi-ken, Japan, 467-8602

Actively Recruiting

28

Hospital of the University of Occupational and Environmental Health, Japan

Kitakyushu-shi, Fukuoka, Japan, 807-8555

Actively Recruiting

29

Mie University Hospital

Tsu, Mie, Mie-ken, Japan, 514-8507

Actively Recruiting

30

Nippon Life Hospital

Osaka, Osaka, Japan, 550-0006

Actively Recruiting

31

Teikyo University Hospital

Itabashi-Ku, Tokyo, Japan, 173-0003

Actively Recruiting

32

Cityclinic Przychodnia lekarsko psychologiczna Matusiak sp.p

Wroclaw, Lower Silesian Voivodeship, Poland, 50-566

Not Yet Recruiting

33

Luxderm Specjalistyczny Gabinet Dermatologiczny Dorota Krasowska

Lublin, Lublin Voivodeship, Poland, 20-573

Not Yet Recruiting

34

Uniwersytecki Szpital Kliniczny im. Fryderyka Chopina w Rzeszowie

Rzeszów, Podkarpackie Voivodeship, Poland, 35-055

Not Yet Recruiting

35

Centrum Badan Klinicznych Pi-house Sp. Z O. O.

Gdansk, Pomeranian Voivodeship, Poland, 80-546

Not Yet Recruiting

36

"DERMED" Centrum Medyczne Sp. z o. o.

Lodz, Poland, 90-265

Not Yet Recruiting

37

Dermoklinika-Centrum Medyczne s.c

Lodz, Poland, 90-436

Not Yet Recruiting

38

Complejo Hospitalario Universitario de Santiago de Compostela

Santiago de Compostela, A Coruna, Spain, 15706

Not Yet Recruiting

39

Hospital de La Santa Creu i Sant Pau - Dermatologia

Barcelona, Spain, 08041

Not Yet Recruiting

40

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Not Yet Recruiting

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Research Team

T

Takeda Contact

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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